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. • . <br /> SITE PLAN MUST SHOW ALL PROPERTY LINES AND DIMENSIONS <br /> ❑ Drawn to Scale: 1 square= Feet Not Drawn to Scale:Total Acres I c I <br /> ,a, <br /> 1 , ce t 0Y1' '4' <br /> 1 <br /> ,n• <br /> r1� ,, <br /> . • • cr Ale!, / <br /> f \ <br /> ,, \ <br /> . /`. . . . . . . . . . . . . <br /> �fi�s \, f <br /> A .,.. . <br /> crj. ..9. . ...-°/.. ekkli \ . ...... . . <br /> \ . . lea, i /`.fir <br /> V).>\r?6,. • • • ' . . . . . . <br /> ' ,- .,,,, ,.„,/e i ,,..., ,II c„ <br /> I certify that the above information is accurate to the best of my knowledge. I AM THE I D(]Owner [ j Authorized Agent <br /> Name(please print): Pet 'r Boci ut n of My telephone number is: 50 •Cl5 I.380 4 <br /> Applicant Signature: Date: <br /> Applicant's Mailing Address: 01-1024(0 kb iti tlu R...ct M E City:SW Mi 1 i5 Zip: C 7375 <br /> FOR OFFICE USE ONLY <br /> PLANNING: Date: <br /> PUBLIC WORKS: <br /> BUILDING INSPECTION(Acceptable for Planning requirements only) Date: <br /> A-33D Rev.05/2011,09/2012,2/4/2020 <br /> Page 4 of 5 <br />